HomeMy WebLinkAboutR2021-0674 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
W2I ,OI nI100 Civic Center Drive I P.O. Box 17681 Newport Beach; CA 92658-8915
RBR# l lC www.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records
Please type or print and complete all information
#of Units:1❑ Address: 14DLandFall Court City: Newport Beach I State: FCA Zip: 92663
PropertyOwner: Jeanne Beach Trust Zip Code:
Owner Address: I City:
State: CA Zip Code: �� Home Phone:
Owner's Authorized Agent: Work Phone:
Agent Address: I City:
State: 7-71 Zip Code: Agent Email Address:
Escrow Company: LFreedom Escrow Escrow #: 054924 -MM
escrow Address: 1200 Newport Center Dr., Suite 180 City: I Newport Beach
State: FCZip Code: FEMO Escrow Phone: (949) 644-3939
Email Report to: mm@fr aedomescrow.com
For Inspection call (Name): N/f1 Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account # 01050504-521040 ................. Make checks payable to: CITY OF NEWPORT BEACH
Building Division\Farms\RBR_]-1-21